NPI | 1437192085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX K2359) |
Additional Taxonomies | 174400000X Specialist (Licence: TX K2359) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2010-09-21 |